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Supervisor Revenue Integrity

TriHealth

Join TriHealth as a Supervisor Revenue Integrity! TriHealth is a trusted, award‑winning employer known for investing in its people and creating an environment where professionals can thrive. As Supervisor of Revenue Integrity, you’ll play a key role in strengthening our revenue cycle operations by leading charge auditing, charge entry, and charge review functions. You’ll collaborate closely with providers, clinical departments, and Revenue Cycle partners to improve charging accuracy, support compliant billing practices, and ensure documentation aligns with regulatory standards. This role offers the opportunity to make a meaningful impact while guiding a high‑performing team and contributing to systemwide financial excellence. At TriHealth, you’ll join a workplace grounded in respect, communication, and professional growth. We empower leaders who are positive, organized, and motivated to drive continuous improvement. As a valued member of our organization, you’ll benefit from strong leadership support, cross‑department collaboration, and a culture committed to doing what’s right for our patients, providers, and teams. If you’re ready to bring your expertise in billing, auditing, and ED charging to a mission‑driven employer that truly values its people, TriHealth is a place where you can grow and lead with purpose. Location Works at Home Work Schedule Full-Time (80 hours bi-weekly) 8am – 4:30pm Day Shift No Weekend, Holiday and On – Call Commitment Benefits TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Job Requirements Associate's Degree in Finance; Billing, Internal Audit (Required) 3 - 4 years’ experience Supervisor/Lead Finance Billing, Internal Audit (Required) 2 - 3 years’ experience Professional Allied Health Hospital ED charging, ED coding or other ED operational experience. (Required) An overall understanding of hospital ED charging/billing and reimbursement methodologies which includes understanding of CPT/HCPCS code sets. Other Nursing License (LPN, RN, BSN) Required or CPC - Certified Professional Coder Required Job Overview The Supervisor of Revenue Integrity is responsible for overseeing charge auditing, charge entry, charge review, and procedure master file maintenance functions within TriHealth. This role supervises frontline team members within the broader Revenue Cycle organization and serves as a working supervisor when needed to ensure appropriate staffing and support daily operational needs. The Supervisor promotes positive customer experience, supports successful team outcomes, and monitors performance through key performance indicators. The ideal candidate is positive, energetic, self‑motivated, highly organized, and an effective communicator. Understands and appropriately applies accounting/billing principles and auditing standards, procedures, requirements, regulations and policies. Acts as a liaison between all hospital patient care departments, physician practices and revenue integrity to reduce/eliminate charging errors to enhance optimal reimbursement. Job Responsibilities Leadership: Works closely with providers and clinical departments to improve charging accuracy. Collaborates with Revenue Integrity and Revenue Cycle team members to identify and implement revenue opportunities. Ensures supporting documentation is included in the medical record and works proactively to implement corrective actions to correct systemic issues. Ensures accountability for team members within areas of oversight which may include hiring, performance improvement and recommendations for growth. PB Revenue Integrity: Leads all operational functions of the PB Revenue Integrity team to support and guide providers and departments for accurate and compliant billing and coding. Coordinates, enhances, and updates tools and workflow processes utilized by the Revenue Integrity department to prevent revenue leakage and maintain regulatory compliance of charges. Collaborates with providers and TriHealth Epic Application Engineers to ensure documentation in the patient’s medical record supports billed charges. Oversee maintenance and updates to the PB Charge Description Master (CDM) to ensure accurate, consistent and compliant billing. Internal Charge Auditing: Coordinates all necessary functions of the auditing team and ensures that all audited bills are reflective of documented services provided and adheres to all accounting/billing principles, procedures, requirements, regulations and policies. Provides process improvement and recommendations to the charge auditors to convert over and under charge trended findings into quantifiable process improvement findings. This includes updating and maintaining tools utilized for audited account selection. Emergency Dept Analysts: Provides leadership to ED charge analysts to complete all necessary functions that ensure ED patient visits are charged accurately and timely in Epic and reflective of services provided as documented in the medical record. Provides feedback and education to ED charge analysts, Internal Charge Audit, PB Revenue Integrity and ED management as needed to capture accurate, timely and compliant gross revenue. Working Conditions Bending - Rarely Climbing - Rarely Concentrating - Consistently Continuous Learning - Frequently Hearing: Conversation - Frequently Hearing: Other Sounds - Occasionally Interpersonal Communication - Frequently Kneeling - Rarely Lifting Lifting 50+ Lbs. - Rarely Lifting Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Rarely Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Frequently Visual Acuity: Far - Occasionally Visual Acuity: Near - Consistently Walking - Occasionally Leadership Performance Standards TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results A1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance Leadership Competencies TriHealth Way of Leading TriHealth Way of Serving Transformation Change Drive for Results Build Organizational Talent Leadership Tactics Conduct department huddles. Generally, clinical departments hold daily huddles, non‑clinical hold weekly huddles. Regularly Round on Team Members, using questions from the rounding log. 25 or fewer team members = monthly 26-50 team members = every other month 51+ (and optional team members) = quarterly Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages. Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD). Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care. TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS Welcome everyone by making eye contact, greeting with a smile, and saying "hello" Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met Offer patients and guests priority when waiting (lines, elevators) Work on improving quality, safety, and service Respect: ALWAYS Respect cultural and spiritual differences and honor individual preferences. Respect everyone's opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community #J-18808-Ljbffr TriHealth

Vacancy posted 5 days ago
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